MELANIE ELAINE GLENNON CRNP
NPI 1104175660
Nurse Practitioner in Erie, PA

Active since August 30, 2012PECOS Enrolled
93.78/100
CMS Quality Rating
1910 SASSAFRAS ST, SUITE 200, ERIE, PA 16502(814) 452-7879(814) 455-2628 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melanie Elaine Glennon Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANIE ELAINE GLENNON CRNP (NPI 1104175660) is an individual nurse practitioner in Erie, Pennsylvania, licensed in Pennsylvania (SP012408) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104175660
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELANIE ELAINE GLENNONCredential: CRNP
Location Address1910 SASSAFRAS ST, SUITE 200Erie, PA 16502-2716
Mailing Address1910 Sassafras St, Suite 200Erie, PA 16502-2716 · (814) 452-7879 · Fax (814) 455-2628
Fax(814) 455-2628
Sole ProprietorNo
Enumeration DateAugust 30, 2012
Last NPPES UpdateMay 5, 2014
NPI 1104175660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP012408
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1910 SASSAFRAS ST, Erie, PA 16502

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Melanie Elaine Glennon Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1910 SASSAFRAS ST, SUITE 200
ERIE, PA 16502
Counselor (Professional)
1910 SASSAFRAS ST, SUITE 100
ERIE, PA 16502
Social Worker (Clinical)
1910 SASSAFRAS ST, SUITE 100
ERIE, PA 16502
Social Worker (Clinical)
1910 SASSAFRAS ST
ERIE, PA 16502
Family Medicine
1910 SASSAFRAS ST, SUITE 100
ERIE, PA 16502
Preventive Medicine (Occupational Medicine)
1910 SASSAFRAS ST, SUITE 200
ERIE, PA 16502
Occupational Therapist
1910 SASSAFRAS ST, SUITE 200
ERIE, PA 16502
Physical Therapist
1910 SASSAFRAS ST, SUITE 200
ERIE, PA 16502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Glennon's NPI number?

The NPI number for Melanie Glennon is 1104175660. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Melanie Glennon located?

Melanie Glennon practices at 1910 Sassafras St Suite 200, Erie, PA 16502. The listed phone number is (814) 452-7879.

What is Melanie Glennon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melanie Glennon enrolled in Medicare?

Yes. Melanie Glennon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melanie Glennon was last updated on May 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.